| Regimental number | 1191 |
| Place of birth | Casterton Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Casterton, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs M Vickery, Casterton, Victoria |
| Enlistment date | 11 September 1914 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, G Company |
| AWM Embarkation Roll number | 23/31/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A38 Ulysses on 22 December 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia 4 May 1915 |